| A Clinical Evaluation of the Esophagogastroduodenoscopy Studies in Infants and Early Children |
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Won Jung Shin, Jong Won Shin, Young Ho Ahn, Jin Bok Hwang, Chang Ho Han, Hai Lee Jung, Young Dae Kwon |
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Department of Pediatrics, Taegu Hyosung Catholic University School of Medicine, Taegu, Korea |
| 영유아기 상부위장관 내시경시술의 임상적 유용성에 관한 고찰 |
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신원정, 신종원, 안영호, 황진복, 한창호, 정혜리, 권영대 |
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대구효성가톨릭대학교 의과대학 소아과학교실 |
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| Abstract |
Purpose
: Even though the causes and appearance of upper gastrointestinal tract lesions vary
with age, attention has seldomly been focused on the infancy and early childhood. This study
aimed to provide, as basic material, the experience of esophagogastroduodenoscopy(EGD) in
infants and early children.
Methods
: The objects were 66 patients(male 40, female 26) who underwent EGD examination
in case of endoscopic indication at department of pediatrics of Taegu Hyosung Catholic
University Hospital from March 1993 to February 1996. The scope of study included age
distribution, chief complaints, endoscopic findings, final diagnosis.
Results
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1) The frequency of age distribution was 31.8% under 12 months, 16.6% in 13-24 months,
7.5% in 25-36 months, 7.5% in 37-48 months, 19.6% in 49-60 months and 16.6% in 61-72
months. The 48.4% of total application was done in children under 24 months.
2) The indications were vomiting(29.4%), epigastric pain(20.0%), melena or hematemesis(
20.0%), chronic diarrhea(12.9%), recurrent abdominal pain(8.2%), foreign body
ingestion(3.5%), drug intoxication(2.3%), chronic cough(1.1%), generalized edema(1.1%) and
diagnosis of Peutz-Jeghers syndrome(1.1%).
3) Endoscopic findings were chronic gastritis or duodenitis(21.2%), gastric or duodenal
ulcer(13.6%), acute gastritis or duodenitis(7.5%), acute hemorrhagic gastritis or duodenitis(6.0%),
reflux esophagitis(4.5%), pyloric stenosis(4.5%), pseudomembranous esophagitis(1.5%), esophageal
varix(1.5%), gastric polyp(1.5%), dilatation of distal esophagus (1.5%), whitish discharge through
the duodenum(1.5%) and nonspecific findings(34.8%).
4) Final diagnosis were gastroduodenal mucosal lesions with unidentified underlying
diseases(37.8%), protracted diarrhea(16.6%), gastroesophageal reflux disease(4.5%), cyclic vomiting
syndrome(4.5%), cow's milk allergy(4.5%), idiopathic hypertrophic pyloric stenosis(4.5%), foreign
body removal(4.5%), recurrent abdominal pain syndrome(3.0%), drug intoxication(3.0%),
Henoch-Schoenlein purpura(1.5%), Peutz-Jeghers syndrome (1.5%), portal vein thrombosis(1.5%),
esophageal web(1.5%), intestinal lymphangiectasia (1.5%), small intestinal hemangioma(1.5%),
fungal esophagitis(1.5%) and unidentified underlying disease(6.0%).
5) The practices of EGD in infants and early children were done without serious adverse
effects. The occurrence of bradycardia was developed in a newborn case during the procedure
and was improved shortly after removal of scopy.
Conclusion
: The EGD studies were useful means of identifying the upper gastrointestinal
anatomy and pathology in infants and early children with upper gastrointestinal symptoms. The
practice of pediatric EGD in infants and early children was done without serious side effects.
Pediatric EGD is now an integral part of the practice of pediatric gastroenterology. |
| Key Words:
Esophagogastroduodenoscopy, Infancy, Early childhood |
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